- Commonwealth Care Alliance (Boston, MA)
- …public health care programs and reimbursement methodologies (Medicaid and Medicare) + Medical Coding , Compliance , Payment Integrity and Analytics + ... under the direction of the Sr. Director, TPA Management and Claims Compliance , Healthcare Medical Claims Coding Sr. Analyst will be responsible for… more
- Caris Life Sciences (Irving, TX)
- …years in a supervisory or managerial role. + CPC. + In-depth knowledge of medical coding guidelines, regulations, and compliance standards, including ICD-10, ... Summary** We are seeking an experienced and effective Director- Coding and Medical Records to oversee assigned...regular audits of coded data to verify accuracy and compliance within established guidelines. + Ensure compliance … more
- Weill Cornell Medical College (New York, NY)
- …this role when Hired for NYC Offices **Position Summary** Responsible for reviewing medical records for compliance with coding and documentation ... Title: Medical Coding Specialist Location: Upper East...Specialist Location: Upper East Side Org Unit: Billing & Compliance Work Days: Monday-Friday Weekly Hours: 35.00 Exemption Status:… more
- CareFirst (Baltimore, MD)
- … functions, by performing moderately complex medical record review and coding , ensuring compliance with all applicable Federal, State and/or County laws ... leadership and third-party vendors to negotiate agreement on complex medical record diagnoses and determine compliance with...on complex medical record diagnoses and determine compliance with coding guidelines which will be… more
- Commonwealth Care Alliance (Boston, MA)
- …public health care programs and reimbursement methodologies (Medicaid and Medicare) + Medical Coding , Compliance , Payment Integrity and Analytics + ... direction of the Sr. Director, TPA Management and Claims Compliance , the Payment Integrity (PI) Recovery Analyst will assist... Association (AMA) guidelines, etc.) + Advanced experience of medical terminology and medical coding … more
- Whitney Young Health Center (Watervliet, NY)
- …medical coding function; reviews the work of other medical coding and clinical staff to ensure compliance with departmental policies and other ... Revenue Cycle. + Evaluates medical record and coding to optimize reimbursement, and ensure legal compliance... coding to optimize reimbursement, and ensure legal compliance and accuracy in billing and medical … more
- The Mount Sinai Health System (New York, NY)
- …and suggest additional and/or more specific documentation as it relates to coding compliance , medical necessity and documentation improvement. 10. ... Appeals Analyst - CDI Liaison is responsible for analyzing medical records, claims data, and coding on...missed secondary diagnoses and procedures, PSIs, HACs and ensures compliance with all DRG mandates and reporting requirements. Analyzes… more
- Nuvance Health (Danbury, CT)
- …closely with all business units and provides recommendations toward continuing improvement of coding compliance and coding denial management, while ensuring ... for this position is advanced expertise in regards to medical terminology, anatomy, physiology, documentation, coding guidelines,...the leadership of the SACO, conducts high volume of coding compliance audits across all Nuvance Hospitals… more
- Atlantic Health System (Morristown, NJ)
- …new providers throughout the year 9. Audit charts for accurate and correct coding and compliance within documentation guidelines and AHS policies 10. Prepares ... to the office staff, providers, and billing department 14. Provides clarification on coding and compliance policies Required: 1. CPC Certification 2. Minimum 6… more
- R1 RCM (Chicago, IL)
- …Audit Specialist, you will be responsible for performing retrospective and prospective compliance reviews of coding related to inpatient and outpatient ... and interpreting payer guidelines + Performs validation reviews for coding quality, accuracy, and compliance + Provides...or a combination of ICD-10-CM and PCS, CPT, HCPCS, medical terminology, Anatomy and Physiology and HIPAA Compliance… more
- Henry Ford Health System (Troy, MI)
- … Coding ? If your answer is YES, this position could be for you! The Medical Coding Education Coordinator is 95% remote work, with travel as needed within the ... work directly with providers. About the Role: As our Medical Coding Education Coordinator, you'll be at...Expertise:With a minimum of three years in documentation improvement, coding , or compliance , you bring a wealth… more
- Deloitte (Austin, TX)
- …accuracy, workload completed, and ad hoc reports as required. + Complete production medical coding duties as required (described below): + Accurately assign ... and clinical staff to resolve documentation issues to support coding compliance . + Respond to provider questions...Bachelor's Degree + 5+ years of supervisory experience in medical coding . + Active credential/certification with AAPC… more
- Tidelands Health (Murrells Inlet, SC)
- …and expands knowledge of coding and sequencing guidelines to ensure coding compliance and accuracy. Responses to audits, provides consultation on projects, ... complete coding . + Have knowledge of payer guidelines related to MUE, Medical Necessity, LCD/NCD requirements and HIPAA/ Compliance in order to take correct… more
- UNC Health Care (Chapel Hill, NC)
- …**Professional Experience Requirements:** * If associate's degree: Five (5) years of experience in medical coding or acute care consisting of both IP and OP ... coding denials. This position analyzes coded records for compliance with federal, state and third party insurer rules...High School Diploma: Nine (9) years of experience in medical coding or acute care consisting of… more
- University of Rochester (Rochester, NY)
- …Conducts in-depth reviews of medical record chart documentation to ensure compliance with coding clinics and guidelines. This includes National and Local ... service. 4. Oversees, monitors or performs internal audits of coding to determine compliance with coding...ICD-10-CM, CPT and HCPCS required. + Working knowledge of medical terminology and anatomy required. + Successful completion of… more
- VNS Health (Manhattan, NY)
- … medical practitioners to provide feedback and educational resources on best practices for medical coding and keeps current on new coding and billing ... claims, records and other requested information for billing, coding and other compliance or reimbursement related...Experience: Minimum three years of payor work experience with medical records, including ICD-10-CM or current coding … more
- LifePoint Health (Denver, CO)
- …ICD-10 and HCPC quality reviews as well as other projects related to physician coding compliance . Demonstrates a thorough understanding of complex coding , ... and other staff on a regular basis. * Ensure compliance with all relevant regulations, standards, and laws. *... Medical Data Solutions* **Title:** *Quality Analyst - Medical Coding REMOTE WORK* **Location:** *Colorado-Denver* **Requisition… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **38308BR** **Extended Job Title:** Coding Specialist ( Medical Coding /Alberta) **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** ... and/or modifiers and procedure codes for physician/provider services consistent with coding compliance policies, ICD-10-CM Official Coding Guidelines… more
- The Mount Sinai Health System (New York, NY)
- **JOB DESCRIPTION** **Inpatient/Outpatient Certified Coding Spec. III - Medical Records - Mount Sinai Hospital - FT Days M-F 8AM-4PM** The Coding Specialist ... coding productivity standards as per department policies. 5.Ensures compliance with CMS and other regulatory compliance ...1199-MSH SEIU 1199 at Mount Sinai Hospital, 183 - Medical Records - MSH, Mount Sinai Hospital **REQUIRED SKILLS**… more
- CenterWell (Jackson, MS)
- …a part of our caring community and help us put health first** The Director, Medical Coding extracts clinical information from a variety of medical records ... codes (eg, ICD-10-CM, CPT) to patient records. The Director, Medical Coding requires an in-depth understanding of...coding staff to ensure continuous skill development and compliance with coding standards. + Partner with… more
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